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HomeMy WebLinkAboutPermit Building 1992-10-27RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSOBS MAP: LOT:ts/ JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 LOT: BLOCK:SUBDIVISION ' L-eL I PHONE ADDRESS: ZIP:Orz-STATE:q74cK OWNER:Brrtru0rTlt 6to- J*. CITY:Et*Aru> REMODEL ADDITION DEMOLISH OTHER ef-JDESCRIBE WORK: NEW { Fzoaooa/)r-rW-. :tLAD,4ofl&a E-* 27 CONTRACTOR'S NAME ADDRESS t 7-5 2 G EN ERAL: PLUMBING MECHANICAL: ELECTRICAL: CONST. CONTRACTOR #EXPIRES fl,/zo PHONE 6K6a13t rRft)u) USE _l WATER HEATER: _ OFFICE * OF BDRMS: RANGE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: OUAD AREA: * OF BLDGS: SECONDABY HEAT: SQUARE FOOTAGE: FLOOD PLAIN: ZONING CODE CONSTR. TYPE: HEAT SOURCE: \\l To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS l--l Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. ing - After trenches are Final Building - When all required inspections have been approved and building is completed. excavated.Fireplace - Prior to facing materials and framing lnsp. Masonry - Steel location, bond beams, grouting.Framing - Prior to cover Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping. MOBILE HOME !NSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut &Approach - After forms are erected but prior to placement of concrete. Plumbing Conneclions - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. d,fBsAZ t i)+ €- tl Rough Plumbing - Prior to cover. d tu r F # PE fl r EF fl E Lot faces Lot sq. ftg. Lot coverage Topography he LohType ,t V tnt"rio,t - Corner - Panhandle - Cul-de-sac acks P.L.HSE GAR ACC N S E -*rl E PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: ioht tu^ag BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time VALUE 2494 ;C2rre e Revi(A) X $i SQ. FT.96'..' lz aozJ Plan Check Fee: Date Paid Receipt Number: Received By upon violation of ons said ordinances. Total Value Building Permit Fee State Surcharge Total Fee T 7.Sez i! BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT C (B)'^#X',1'j3'€ ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT. FT. FT. N0 PLUMBING PERMIT Plumbing Permit State Su rcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent q@ N0 4 (D) MECHANICAL PERMIT Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved Signatu Date on the site at all times u ring rematn ctio MISCELLANEOUS PERMlTS Mobile Home State lssuance State Surcharge sidewark [-05 ,. Curbcut - ft Demolition Total Miscellaneous Permits (E) - \\ \.r'1 Su rch R EI DATE PAID VALIDATION: RECEIPT NUM AMOUNT R RECEIVED TOTAL AMOUNT DUE (excluding electri (A, B, C, D, and E Combined) I I d) l C'TY OF OREG 225 FIFTE STREET SPRTNGFTELD, oRBGoN 97477 TNSPECTION RBQIEST. 726-37 OFFICE: 726-3759 1. LOCATION OF INST DESCRIPTTON ra SI',IIN(;FII:LO APPLICATION LOV r HuIti-FamiIy per dvelling unit. Service fncluded: Items Cost Sum( JOB e4-+)_l_ 5 $ 8s.00 s 1s.00 s 40.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf,d Home or l'lodular Dvelling Service or Feeder Electrical Contractor Address ci Phone Expiration Date Constr Contr. Number Expiration Date Signature of Superv 0wn s Name OBA Address tt Ci ty NIL Phon .6K3!3t- 0vners Signature: DATE: B. Services or FeedersInstallation, Alterations or. Relocation:c supervisor License Ntimber #7O 200 amps or less 201 amps to 400 amps -401 amps to 600 amps tZ< 601 amps to 1OOO amps-''- 0ver 1000 amps/volts Reconnect Oniy I .00 .00 .00 .00 .00 .00 $so $60 $100 $130 $300 $40/d ctri cian 9o*D. Branch Circuits C. Temporary Services or Feeders C fnstallation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 arrps - g 55.00 over 401 to 6oo amps - g go.oo Over 600 amps or 1000-\,Ats see uBu a56Fd OIINER INSTALIJTION The instalLation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent. Nev, Alteration or Extension per panel Onb Ci.rcuit S 35.00Each Additional Circuit or vith Serviceor Feeder Permit S Z.OO Hiscellaneous (Service/feeder not included) -Each installat ion Pump or irrigation Sign/Out1ine Lighting- Limi ted Energy/Res -Limited Energy/Comm SIETOTAL OP ABOVE 5Z State Surcharge TOTAL E s $ s s 00 00 00 00 40. 40. 20. 36. 'n7RECEIYED 5 (I) ELECTRICAL 8f L1 Ci ty Job Number 4.SJn"r - nesi den t ia-I- s i ngl e a) Permits are non-transferable and expireif vork is not started vithin 190 diysof issuance or if vork is suspended for 180 days. 2. COI{TRACIOR TNSTALI,ATION ONLY JOB NO.1tt 4o 1 crrY 0F SPRTNGFIELD sIIILl'l: DEVEL0PMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY:Beeeve 9 0z '?-lbl d) LOCATION: DEVELOPMENT TYPE:L tz 4tr ? LOT SIZ DRAI AGE IMPERVIOUS SQ. FT.'bb11 x 50.i92 PER SQ- FT. 2. SANITARY SEi.IER_CITY NO. OF PFU'S (See Reverse) X $39.78 PER PFU S a. Ft. 1 3 T PORTA NO OF UNITS X TRIP RATE X COST PER TRIP l,oo5 x $401.0s x $401.05 x $401 .0s TION (Use PFU Total From Item MI,,MC CREDIT IF APPLICABL 2 Above) E (SEE REVERSE) ,-L- (o S $ TOTAL-MI^JMC SDC TOTAL SDC X X x 4 ADM INiS TiVE F EES BASE CHARGE (SUBT0TAL AB0VE) X '05 TOT L-CITY S DC 5. SANITARY SEI,lER-Mt,lMC NO. OF PFU'S 2-o $I3.62 PER PFU + $10 MhlMC ADMIN. TEI SZ6ZY SUBT0TAL (ADD ITEMS 1,2, & 3l s ln{z? 44 '2 -Kip Burdick SDC Coordinator b4+9+ q5b9 Z529 1L Lt1 GI a*lc . s/q"5 b9 FIXTURE UNIT CALCU I.ATIOIv TABLE: For remodels, calculate only the NET additional fixtures) FIXTURE ryPE Bathtub....... Drinking Fountain--"' Floor Drain- I nterceptors For Grease/Oil/Solids/Etc""""""""' I nterceptors For Sand/Auto Wash/Etc" """""""" Laundry Tub/Clotheswasher""" Clotheswasher - 3 Or More"""""" Mobile Home Park Trap (1 Per Trailer)""""""""" Receptor For RefrigeratorAVater Station/ttc"""" n"""'ptot For Commercial Sink/Dishwasher/Etc" Number of New Fixtures X Ur'*'rtruivalent = Fixture Units (NOTE: NUMBER OF UNIT FIXTURE NEW FIXTURES EQUIVALENT UNITS a .ob x$t6,G x$ 2 1 2 J 6 2 6 6 1 J 2 1/ 2 2 'l 6 4 Shower, Single Stall-Head Sink, Bar, Commercial Urinal, StallflVall-...?- Wash Basin/Lavatory, Single" Water Closet, Public lnstallation"Z. Water Closet, Private---""" Miscellaneous: TOTAL FIXTURE UNITS 2-o cREDrr CALCULATToN TABLE: Based on assessed varue. [f improvements occurred after annexation date in table' calculate credits l5 Credit for Parcel or tand Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Val ue) (Rate X Assessed Value) CREDIT TOTAL =$++ RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential-- Commercial.--...----.----.--- lndustrial....- Governmental--.---..-------- 9 0.4 0.9 0.45 0.5 Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,000 Assessed Value 1 985 '1986 1 987 1988 1989 't990 1991 $2.1 6 1.90 1.60 o.25 0.87 0.50 0.16 1979 or before 1980 1981 1 982 1 983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 IMPERV]OUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT + -2- Z. 4 I ')D/'F;s f/'etuffi__qziqCI_ Here's the FAX from Breeden Bros. Inc. kofessional land Developers and Home Builders for Or 250 To:O t\\, Darc:7 Cemcf 366 F:st4O& €9O-{q4!9!E _ ._ u s A. 97fi5-W5 gEou". (5 l3) 68_6-94-11 at-EAI- * 2$-4: -fAfr? .\2 Timo: 7,' , o t? m lof 3 v\L41 4a- 7r 7&t -/a! €4.-.i t4- L |QP r Y'Q ) Cat td il.- .'!.f?gQ'.t-1?O,A (.., :gpn!4,tign_ is.Fyrldlggll _ (_ I z 3 I 5 6 7 t _-9 t0 r3 l{ ts l6 ! ,r '.j a r 6a9E|9 9AS "Our -+< -:rrf,J SOIJ!:I N3O33UEt A9:A NOt'l 96.-iI-lld'.J + .;i f)o. I I , , I1 g l7 t/ FF,r_l;t i Trlpje R EnJerFris COLOR:OFT \YHIT8 covEHAqe lltl a /r,l .--c:tl@ DRYINO tIt{ET 6 7T'F, BOi6 HH F[,\6H POINT: i.iNi8H. 6CLvEI.ITIBEDUOEH VEHIOLE TYPEJ VOLUUE OOLIDB: wEr0tt? SouDa: ,'&J'iGHT P&F 6ALLON: MMIMUM VOC ^8 PACiqoEDi PEFg€l 00f 00o000 -q-.1 {OO 'Q,FT,,q^l TT { Mlla WEf, I,U MIL6 ORY T0 TOUCH: 1ts20 MlH, TO FEOOAT] WHEH ORY To Touctl 20t. FcLoSEocup FLAT ,DO ROT HEDUGE' 8WRENE BUTADI€NE 17,0 $ +/- 2 rl.0 $t t/- ? l0.t - 10,7 186 .a LBSiGAL 60 OMg,,LIITB 6,6O t/- 0.i0 ( _., dle 1 E I689r:l 9 S'a y 'ru I SOXA N3fi:l=ll FHONE N0. | +461 3275 SPECIEICATIONS DRY.l\IAtL I c?. v^poB BARRieR A CT8, ^HCHITEOIUML TOPCOAT FAEXNY I cr. vlPoREARnlEn 2 CYE, ^ECHIT@TURAL TOFCOAT PUSTER 1 cr vAPon EARR|G8 9 CT8, AECHITSCTURAL TOPCOAT couFo6tTlolr Bo^Ro 1 OT, VAPOH B^RBIER I CYS- ^RCHITECTUFAL TOPCOAT RFr. A9 1993 A3:Uleil Pbll PRODUCT DATA VAPOR BARRIER SURFACE PRBPAIT A'I']ON DRYIIALL RSMOVE ALL 'URFACE CONIAMJN^\TO OY WAEHINO WITH A}{ APPROPRI,ATE OTEAN EC. FILL CR^CI(6 ANO NAIL HOLEr wtrH 9Aycl"rlNo pl-cTE/eprcKLE Ar.tD €$rD tMOO'H. JOINTg COMFOUIiOE MUST OE cunEo rfto BANDED EMoorH REMovE ai_! 8^NOINq DUST. MACONRY REMOVE ALL SURF^CE CONYAMIN^NTS WITH AH APPAOPATATE CLEANER. ALL SURFACEE MUST 8E CUNED ACCOFDI!a Io THE SUPPLIEBS RECOMMENCD^TIOII8, nEuovE ALL FOBM RELEAsE AiJD CUqtit.t AOEI{76. ROUgH suRFacEs cAr{ BE Ffl-t r0 TO PHOVIOE A EMOOTH 6UFFAiE FLASY E h gAqE PL.TSTEB MUST 86 CUqEO At]9 HAftr-) T€XTUHEO. SOFT. POROUO, CFI POWi]ERY PLA'TER SHOUtO tsE TRE^TED WIIH T SOLUT(ON OF 1 PINT HOUsEHOLD VIrl€OAA lO t GALLON OFWATEB, FEPEIT UlTrt THE EUnFaCE tS ).|ARD, Flri.sg wrrH cLEAN VJA'I ET AND ALLOW tO OAY, a U couPoslTtoN BoAHo Fel',tOVB ALL 0URTACE COr.lrAr/INAN re WJTH AN APPFOFFII^lEOLEANCH, SAND ANY EXPOSEO WOOD TO A FREOH 6URFACE, PATCH NAIL HOLE AND ItTFEFTFECTTONO WrTd A WOCD Fir-LI!R OF PUTTY TND GAND SIioOT}T ER:rl'l : Trrple R Err.ferp :qg PRODUCT DATA VAPOR BARRIER BAuE|l NO AEDUCT|OTI NEGESSAqY. UsE A l{ YLON/PoLYEETEA BRUOH ,+,OLLER NO FEDUCTIOH NECEECARY, USE AT,OLYEETEE POLLER, 6PRAY- ArBLElt PRES8UBE,,,.,..,... 2ooD P8t T1P....,,, . .... ,Op-,ore REoucrtoN.,.,. ..,,,HONE !B'.1 PHOl.lE N0. : +461 3,- CLEAN UP INFORM ATION CLEAN OPITLS ANP ,F!^TTERS IMMEOIATEIY WITH WATEB. OLE^il PAINTINO TOOLS IMXSOI^f ELY AFTES U9E TYI?X SOriirrOyjlEr, FLU6H EOUtpHEllT wtrH MTNER{L Illtro ro pAEvENr RUsTlNO oF Tt{E EQ-UIPM ENI. FOLLOW MANUF^OTUBA' B IAFC,' FECOMMEHDATIONs WITEN U8IilO MINEf,AL 6PIqITE €! r 663Er9 9EC * -:ru I sctllg N3tr \-/ FF.. A9 199f E3: 113p11 F rt 1 CAUTIONS DO NOT APFLY EELow d6. F HON-PHOTOCHEMIcALLY hEAcT IvE TI{I6 PRODUOT MEETT CURRBN? ECOLOOICAL ANP LEAD HAZAf,O NEGULATIONS. PHOTECT FROM FFEEZ1NA ,NTERtOR UBE oNLy DO NOT TIIIN. BEOUCTIO N WI LL ADVERELY EFFECT THE PERM ReTII.Io ,. . \u/ 'J 3UA rg:13 NOl'.t 96-ZT-)ldrJ frlT/V i /au/ --._4I3Lrc^Ti-ory-- a a